SOUTH EAST ALASKA REAGIONAL HEALTH CONSORTIUM (NPI# 1154467173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154467173 |
| Entity Type | Organization |
| Organization Name | SOUTH EAST ALASKA REAGIONAL HEALTH CONSORTIUM |
| Practice Address |
222 Tongass Dr Sitka AK 99835-9416 |
| Practice Telephone | 9079662411 |
| Practice Fax Number | 9079668606 |
| Mailing Telephone | 9079662411 |
| Mailing Fax Number | 9079668606 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NELDA P DODGE (DIRECTOR OF CBO) |
| Authorized Official Telephone | 9079668579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
70206 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DDG222 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215454137 | South East Alaska Reagional Health Consortium | Day Training, Developmentally Disabled Services | 333 Church Street, Wrangell, AK 99929 | 2017-08-23 |
| Street Address |
222 TONGASS DR |
| City | SITKA |
| State | AK |
| Zip Code | 99835-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018486 | Jeanette Susan Berry | Nurse Anesthetist, Certified Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2005-10-26 |
| 1164021523 | Grant Verhagen | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-18 |
| 1508464751 | Izabella Zora Powers | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-10 |
| 1417555665 | Kevan Abra O'hanlon | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-10 |
| 1992302590 | Reed Andrew Carter | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-06 |
| 1851901763 | Nathan Riley Kraft | Pharmacist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-08-05 |
| 1013532571 | Gregory David Powell | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-06-10 |
| 1477182434 | Jasmine Leigh Esmay | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-04-02 |
| 1639709868 | Kyle William Larson | Behavior Technician | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-01-15 |
| 1124668595 | Nina Mueller | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346431798 | Benjamin Warren | Dentist | 222 Tongass Dr., Searhc - Dental Department, Sitka, AK 99835-1901 | 2007-08-09 |
| 1922016104 | Thomas E Jacobsen | Dentist | 514 Lake St, Sitka, AK 99835-7403 | 2006-08-04 |
| 1275010589 | Robb Garni | Dentist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-07-19 |
| 1568967966 | Jonathan Spurgeon | Dentist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2018-03-27 |
| 1134443674 | Robert Lummis | Dentist | 611 Airport Dr, Sitka, AK 99835-9436 | 2010-03-25 |
| 1013198423 | Mark Perry | Dentist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-11-14 |
| 1770667693 | Barbara B Beach | Dentist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760034524 | Erin Winters | Dentist | 3706 Swenson Ave, Fairbanks, AK 99709-4643 | 2019-07-11 |
| 1063064863 | Alan Bartelli | Dentist | 1700 E Bogard Rd Ste 204, Wasilla, AK 99654-6563 | 2019-07-11 |
| 1568024388 | North Coast Dental LLC | Dentist | 2020 Abbott Rd Ste 1, Anchorage, AK 99507-4624 | 2019-07-01 |
| 1558852954 | Soldotna Family Dental | Dentist | 36297 Kenai Spur Hwy, Soldotna, AK 99669-7106 | 2018-05-22 |
| 1215433768 | Ryan P. Ersland, D.m.d. LLC | Dentist | 2525 Gambell St Ste 304a, Anchorage, AK 99503-2838 | 2018-04-03 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1841713872 | John Trimble | Dentist | 660 3rd Ave, Suite C, Bethel, AK 99559 | 2017-07-21 |
| 1255853388 | Brett Croft Kocherhans | Dentist | 1401 S Seward Meridian Pkwy Ste E, Wasilla, AK 99654-8312 | 2017-07-11 |
| 1295271492 | Maurice J Welch Dds A Professional Corporation | Dentist | 4450 Cordova St Ste 210, Anchorage, AK 99503-7273 | 2017-01-11 |
| 1043767940 | Southcentral Foundation | Dentist | 11495 N. Callison Street, Sutton, AK 99674 | 2016-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.